The prevalence of Helicobacter pylori infection in men aged 18—26 years

Objective. Assessment of the frequency of H. pylori infection in the period 2020—2023 in men of military age (18—26 years). Materials and methods. The frequency of contamination of the gastric mucosa with H. pylori in men aged 18—26 years with/without symptoms of dyspepsia in 2020—2023 (1006 people) was studied by morphological method. Of these, 760 were called up from urban areas, 246 from rural settlements; 607 patients had symptoms of dyspepsia, 399 did not.

Results. H. pylori infection in the period 2020—2023 in the group of male conscripts, regardless of the presence/absence of dyspepsia, the degree of contamination and localization in the stomach, macro- and microscopic changes in the upper gastrointestinal tract were detected in 488 (48.5 %; 95 % CI (45.4—51.6)) people. In military personnel drafted from urban settlements, the infection rate was (45.3 %; 95 % CI (41.8—48.8)) and was lower compared to rural (58.5 %; 95 % CI (52.3— 64.5)) — the differences were statistically significant (χ² = 13.11; p < 0.001). In individuals without symptoms of dyspepsia, the infection rate was 47.4 % (95 % CI (42.5—52.3)), in the presence of dyspepsia — 49.3 % (95 % CI (45.3—53.2)) without statistically significant differences (χ² = 0.34; p = 0.56).

Conclusion. In 2020—2023, the incidence of H. pylori infection in men aged 18—26 years (conscripts, n = 1006) with/ without dyspepsia was 48.5 % (95 % CI (45.4—51.6)). In military personnel drafted from rural settlements (n = 246; 58.5 %; 95 % CI (52.3—64.5)), the incidence of H. pylori infection was higher compared with those drafted from cities (n = 760; 45.3 %; 95 % CI (41.8—48.8); χ² = 13.11; p < 0.001), in including in the presence (57.6 %; 95 % CI (49.5—65.4) vs. 46.7 %; 95 % CI (42.2—51.2); χ² = 5.31; p < 0.02) and in the absence of dyspepsia (59.8 %; 95 % CI (50.1—68.8) vs. 43.1 %; 95 % CI (37.6—48.8); χ² = 8.5; p = 0.004).

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